CMS Formulary

Displaying 227281-227290 of 1611142 results.
ID: 227281
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 404011
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227282
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597990
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227283
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227284
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227285
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227286
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227287
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227288
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227289
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 227290
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30